Hazel R Wasseluk, RN

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

041321504 Issued in IL

Practice address

3001 Greenbay Road
Women's Health Primary Care Clinic/Building 133 Ef
North Chicago, IL 60064-3048

Phone

(224) 610-7698

Fax

(224) 610-7613

NPI assigned

Oct 24, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1528830437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 GREENBAY ROAD",
            "address_2": "WOMEN'S HEALTH PRIMARY CARE/BUILDING 133 EF",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600643048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 GREENBAY ROAD",
            "address_2": "WOMEN'S HEALTH PRIMARY CARE CLINIC/BUILDING 133 EF",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600643048",
            "telephone_number": "224-610-7698",
            "fax_number": "224-610-7613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSELUK",
        "first_name": "HAZEL",
        "middle_name": "R",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "IL",
            "license": "041321504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Steven Walch, M.D.
• Dilpreet Gill Wander, CRNA
• Franchot H Wang, M.D.
• Hans Wang, MD
• Megan E Warnock, APSW
• Deana Weintraub, DMD
• Amanda A Weiss, M. D.
• Diana Weldegiorgis
• Brigham Tyler Wells, PA-C
• Matthew Welsh, PH.D.

• Ambulatory Care Registered Nurse in North Chicago, IL
• Providers in North Chicago, IL by specialty
• Ambulatory Care Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.